Presentation on theme: "KBMA End User Module Cathy Patton, MA, RN Chris Tarver, MS, RN, CNS"— Presentation transcript:
1KBMA End User ModuleCathy Patton, MA, RNChris Tarver, MS, RN, CNSElizabeth Yang, ITOctober 2012
2What is KBMA?Knowledge Based Medication Administration (KBMA) is a software product:embedded in ECHOallows nurses and RTs to scan meds prior to administration.When you scan the barcode on a patient’s wristband and the medication to be administered, KBMA compares the scanned data to medication orders and eMAR data. KBMA is accessed through an icon on your ECHO eMAR.
3KBMA is Being Implemented in the Inpatient Areas All Inpatient Units and PACU in MV and LGThe Infusion CenterThe PILOT unit: 4B (training 10/16-10/18)Go Live for 4B : October 23Rest of implementation will begin in January with 1-2 units going live every other week thru April 2013LG Go Live will be May 2013
4Who is NOT implementing KBMA? Emergency DepartmentsDialysisCath Lab/Interventional ServicesRadiation OncologyEndoscopy
5Five Rights of Medication Administration and KBMA Right Patient – Verified by scanning patient’s wristband barcode Right Medication – Verified by scanning the barcode on the medication Right Dose – Verified by scanning the medication. KBMA compares to the ECHO order
6Five Rights of Medication Administration and KBMA (cont.) Right Time – Verified by scanning the medication. KBMA compares to the ordered frequency, when the medication was last administered and when it is scheduled to be administered again Right Route – Certain High Risk Medications will be configured for KBMA to prompt you to validate the route on administration. Otherwise, right route is verified by the RN/RT as you always have.
7Our Medication ErrorsWe believe that bar coding medication administration will decrease our error rate!
8KBMA General WorkflowObtain meds as you normally do from PYXIS or med room bins & proceed to the patient’s room.At the bedside, scan “sync square”Log into ECHOSelect patientOpen eMARClick the KBMA iconScan the patient’s wristband.Scan the drug(s) to be administered to the patient.
9KBMA General WorkflowReview detailed information about the scanned med and the associated taskAcknowledge any required alerts or warnings.Click Scan CompleteMake a final review of scanned medications.Administer medications to patient.Click Administration Complete to record medication administrationClose KBMA
10Next slide shows the layout of the KBMA Screen The HEADER Includes information about the patient whose armband you have scanned The WORKLIST Includes medications available to administer KBMA displays a rolling 2 hours worth of meds due or PRNs available The MATCH RESULTS Populates as meds you scan match the orders
11KBMA Header AreaKBMA LayoutKBMA Worklist AreaKBMA Match Result Area
13PROTECT THE BARCODE!When opening medication packaging, use scissors when necessary to protect the barcode from damage! Prepping meds in the med room? Be sure to take the barcode to the bedside!
14Bar Code ScannersManufacturer: “Code” 4B will pilot “palm” style and “handle” style
15Brand New on the Market“Code” – the company that makes our bar code scanners has just introduced a new model We have ordered two of these Scanners to test
16Barcode Reading Techniques Hold the scanner steady and center the barcode in the light. Press the trigger until scanner beeps/vibrates, indicating the code has been successfully read. *It can be helpful to hold scanner close to barcode, then press & hold trigger as you slowly pull scanner straight back, away from barcode.
21KBMA GlossaryMATCH – Medication scancode matches medication task in KBMANO MATCH – Medication scancode is valid but does not match a medication task in KBMA. Enduser can usually find task by changing time view.MULTIPLE MATCH – Medication scancode matches more than one medication task in KBMA as there may be bioequivalent medications, or multiple task occurrences like Q1hr.PRODUCT NOT FOUND – Medication scancode is not a valid code. The scan is recognized but the drug information is not in the system. Please report as directed.MANUAL MATCH – Occurs when there are no task occurrences from verified orders that can be matched to the scanned drugs in the time displayed. Enduser must choose appropriate task from list of drugs.
22KBMA Glossary Continued MULTI-TAB MED (Partial Dose) – These are medications that require multiple components to be dispensed and requiring more than one scanned dose .MULTI-DOSE MED – These are medications that require multiple doses to be given from the same container like an ointment tube or bottle of eye-drops.VARIABLE-DOSE MED – These are medications that require a variable dose to be given to the patient like insulin.NO SCAN -- The process by which a medication can still be administered despite a damaged barcode or no barcode.FIND PATIENT – If the patient’s wristband barcode won’t scan or if it is missing, the enduser can still find the patient to use in KBMA.
23Alerts WorkflowIf there are alerts in the Alerts/Warnings List in the “Match Result” Panel, the Scan Alerts button will become enabled.Select the “Scan Alerts” to view all the alerts associated with the currently selected matched taskAcknowledge the alerts at each scan as needed.If there are pre-existing unacknowledged task alerts:these alerts will also appear in the Alerts/Warnings Listmay be presented in the Alert Detail dialog boxAcknowledge as needed
24Scan Warnings Workflow If there are Scan Warnings in the Alerts/Warnings List, the Scan Warnings button will become enabled.Select “Scan Warnings” to view all the scan warnings associated with the currently selected matched taskAcknowledge the warnings at each scan as needed.If the scan warning is of type “Time Warning (Early)” or “Time Warning (Late) for early or late administration, or “Drug Not Scanned Warning”:“Apply override reason for subsequent <warning type>” checkbox becomes availableAllows user to select or clear such that the override reason may be carried forward to the next scan warning of the same warning type.
25Alerts and Scan Warnings For both Alerts and Scan Warnings:user does not need to acknowledge these alerts/warnings immediatelyMay be deferred until the scans of all required medications to administer are completed.If user has acknowledged any of the alerts/warnings after a match is made, user will be able to un-acknowledge any time before finishing all scans.
26If you need help, use your Vocera to: “Call Bar Code Help”
27Thank you!!Contact your manager if you have not already signed up for a scenario-based training session!! All training sessions will be held in the OLD MAIN HOSPITAL, OLD RADIATION ONCOLOGY IN THE BASEMENT – FOLLOW THE SIGNS! Any persons who are more than 5 minutes late to the training session will not be allowed to enter!